Me & my speech.

Posts tagged ‘pain rating’

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Continuing from the previous post- #09- Detailing Diaries Could Limit Inaccurate PAIN Assessments–  The bone injury assessments aren’t as easy for the doctors to see after time continues to pass. BUT let me demonstrate how the detailing could add value to visual assessments by medical professionals..

8-10-2000 Original Injury Sketch

This was from a car accident! The original accident was with the weight bearing bone of my left arm. According to medical information, “Often a fracture of the mid shaft of the ulna is not associated with an injury at the elbow or the wrist, [TRUE WITH ME]. It can be treated with a long arm cast, or with surgery. Plates and screws or intramedullary pins are both effective treatments.” With my car accident the picture is my memory of the injury.

Bone fracture repair is used when a broken bone does not or would not heal properly with casting or splinting alone. Improper healing that requires ORIF surgery can occur in cases when the bone is sticking through the skin (compound fractures)…” This is consistent with the injury that I had.

The orthopedic specialist that did the surgery told me that the lack of inflammation and coloring was very abnormal. He also told me that my bone density was super high, a very good reason to expect that the screws would need to be taken away at a later time. The experimental straight plate material that was put in my arm & the external padded brace was wrapped around the bandage holding the staples and 4.5 inch scar in place.

Of course I can only share with you my visual memories, but the pain assessments can’t be accurate because I was drugged with the emergency ambulatory care.  The visual memory is from being awoken by the doctor so that the hospital could get my desire for treatment.

In that situation my pinky toe on my left foot which was dislocated hurt worse than my arm, it distracted me from really feeling any problem with my arm.  The localized pain killer had not been applied for surgery.

2000 Injury Scar & 2005 Scar after Screws were Removed

The information shared with the section about My Pain Tolerance is HIGH (A Self Assessment describes how the work in my arm resulted in minimal injury.  As stated previously the INACCURATE ASSESSMENT of the PAIN & the CT results by the other hospital could have caused other major body problems, but I knew my body better and worked to get the proper care.  The specialist did NOT base his estimates on my pain statements, BECAUSE before seeing me he had taken the time to do a proper visual survey of the evidence because I had made sure that he got the visuals so that the inaccurate technical reports of the other hospital weren’t his only evidence about the situation.

The day of the surgery after the screws were removed the surgeon who took care of the problem said that, “the screws holding the plate on my arm were removed with my fingers, they were barely in the bone.” This was after I asked why the scar bandage was so small in comparison to the whole plate scar that I had, it was less than 2 inches long while the original plate scar is over 4.5 inches long.

A visual reminder for you of my scar of 2005:

In general with a full plate removal, according to another medical document, from the Malaysian Orthopaedic Journal 2009 Vol 3 No 1 “…Refracture is the most common complication following removal of implant… The forearm should also be protected from heavy loads by splinting for [2] to [4] weeks…”

BUT FOR ME IN 2005, my screws were removed by hand & as more evidence that the PLATE WAS NOT removed I was told by the professional surgeon, “you can return to work like normal tomorrow, there are no restrictions.”  So on my return to work, 4 days after the surgery, the next week because of the extra days I’d previously taken was abnormal for a plate removal.

The plate in my arm has aggravated the present pain situation and proper doctoral assessments, even though the doctors have not heard me because they have been misled by INACCURATE reports based on other inaccurate reports & BAD PAIN Assessments.

This visual addition along with my information from #03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance and other posts can assist others to see in some ways why the Summer 2014 injury care action taken by me did not result in the better care results from doctor’s.

Detailing Information Visually

Maybe the pain & injury diary can grow value in pain assessments as well as more accurate treatments. Like

  • what if the doctors had a visual flip-book relating the pain as well as the injury progressing as I have suffered?
  • what if the medical community had made assessments accurately for me instead of basing things on their own personal ratings of my pain estimates?…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

Continued from #08- Inaccurate PAIN Assessments MADE a BIT Better– Because of my pain WHICH HAS NEVER BEEN CHRONIC, shifting and changing based on actions and bone shifting having different time ratings to add the colors to the pictures is useful.  But there is more like the detailing that for me is necessary because there is no reference when doctors only see you every 6 months or when there is a specific problem THAT THEY HAVE RECOGNIZED.

WE AS PATIENTS, who have NOT received proper injury treatment, NEED TO KEEP Visual DIARIES, so that doctors can view the progression of pain at least with coloring in pain variables and area changes.

Like for me which pain has never been consistent, it always comes from actions that have increased problems and actions that have effected previous areas where pain was in the past but had been gone for a long while.  That is a reason that detailing visuals can really assist others, like doctors OR other healthcare OR physical therapy people, realize what issues you, a patient, is trying to share with them.

Detailing Visuals

Visual descriptions may be generified, but people with problems may also need more details.  If I had taken photos or sketches of my arm, with the problems showing, even only the pain charted I could have drawn or colored in the pain variables over time as well as the location shifts so that the doctor’s assessments could be more accurate.

The medical society could do this work also, but in my experience they haven’t done so yet.

Rhapsodie’s Visually Detailing Pain & Variations

My left forearm pain has grown with problems over time, just with using enlarged clips of the pictures from the National Institute Of Pain with added detailing as remembered over time more details of understanding could be seen.

Let me show you my recent work with detailing some of the advancing stages of arm problems based only on my memories from 2014 up to now with the newer problems that grow on my left forearm.

As previously mentioned, the injury to my lower left arm was originally fractured in a car accident. This sketch was pieced with the picture shared by the book and my information added.

AND during the summer of 2014 after taking a twisting fall in 2013 where my weak arm suffered some.  THEN there was another fall around Father’s Day 2014 that dramatically increased my problmes.  This was demonstrated later, in July of 2014 as I was carrying some envelopes of mail up from the mailbox and a piece of bone popped up out of the bone on my left arm.  Instead of taking a picture with my camera, I stood in the yard and pushed the bone down away from the skin.

NO VISUAL EVIDENCE was left for the doctors that they took time to examine or see, AND no one has even gathered accurate assessments of that arm because  the 2005 screw removal surgery report was falsified.

BUT maybe if I had previously added the visuals into a timeline of events incorporating any personal pain feelings the doctors’ would accord more serious attention to the injury now. I have not done things that way because of my ignorance of how the doctors misdiagnose based on limited information.  Previously my diabetes was appropriately diagnosed when I was 5, because the Hemoglobin A1C taken from my blood placed my blood sugar levels as being way outside normal, and my parents were witnesses to how sick I was and the amount of time I lived sickly.

The bone injury assessments aren’t as easy for the doctors to see after time continues to pass. BUT let me demonstrate how the detailing could add value to visual assessments by medical professionals…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

#08- Inaccurate PAIN Assessments MADE a BIT Better

As ended the previous post #07- Inaccurate PAIN Ratings with NO Applicable Associations- Notice how I varied that doctor’s statement.  It was done, in my estimate, because my doctors have taken it upon themselves to offer assessments based on their inaccurate work & because I had not read through this article with articulation for the types of pain to share previously.  This means there is a need for doctors to supply for patient’s corresponding information that can be related to by the doctor & other medical people too so we as patient’s aren’t inaccurately mislabeled or inaccurately cared for.

Rhapsodie’s ways to share more accurately pain feelings with doctors

The pain specialist information from WebMD can be used, but without having corresponding visuals doctors are likely to make inaccurate assessments.  The National Institute on Pain Control (NIPC) has a great way of assessing pain given for FREE to patients and doctors, but none of my medical practitioners have used it.  Getting this printed AND filled in for your doctors COULD greatly assist them in evaluating you and me also.

Detailing the reinjury to my lower left arm, as was never done till now, during the summer of 2014 after taking a twisting fall in 2013 then again around Father’s Day 2014 causing further problems.  Added to me by the self care for my bone popping as I was carrying some envelopes of mail up from the mailbox was NOT detailed by anyone.

Instead of taking a picture with my camera, I stood in the yard and pushed the bone down away from the skin.

  • But what if I had done more?
  • What if I had taken photos, instead of working myself out of the pain by moving the bone?
  • What if I had done a running visual report for the doctors to look at?

I don’t think they would have found anything with images, because my dense bones and the plate disguised the reinjury, but at least I could have visuals to share. But it hurt and for me, the way to minimize the hurt was to realign the bone more properly, then and there as I was walking into the house with the mail.

The medical reports as followed were only based on the wonderful ‘rate your pain from 0 to 10, and the doctors added me to a chronic pain complainer with NO ACCURATE TREATMENT ALSO.

Basic Visuals to Share

As NO VISUAL EVIDENCE was there for the doctors to view AND no one has even taken accurate visual assessments of that arm even though there are reports made with no visual evidence because it was falsified.  An ultrasound of that arm is unlikely to cause a lot of pain, is safe, and is non-invasive.  It also is cheaper than an MRI or a CT scan, but it has not been done.

But presently on top of wanting accurate treatment, I really wish the doctor’s did more than read inaccurate assessments done by the same hospital that couldn’t even discern that screws were coming out of that arm back in 2005.  My desire for that also includes having them relate to my pain properly.

Look at how the assessment is done in split assessments with both visual AND by descriptions, partially detailed from the work shared by the National Institute on Pain Control (NIPC):

They are asking you the patient in pain to make mark or color in the pain so that doctors can see it.  Also there is a packet of information that includes questions relating to the pain and the feel of it.  The question below is 20 out of 20; showing that there is way more investigative than most doctoral assessments.

This can assist in getting more accurate assessments if the doctors saw how variables shifted and changed with time and situations if they made any assessment beyond the simplified give us an estimate of your pain, rate it from 0 to 10.

Just having charted this information, maybe with multiple copies of this pain chart can add to the doctor’s knowledge if the patient is using the reports to show how the pain varies with the incidences and the work done that causes the pain to result.

Because of my pain WHICH HAS NEVER BEEN CHRONIC, shifting and changing based on actions and bone shifting having different time ratings to add the colors to the pictures is useful.  But there is more like the detailing that for me is necessary because there is no reference when doctors only see you every 6 months or when there is a specific problem, THAT THEY HAVE RECOGNIZED…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

From previous post- #05- Inaccurate Doctoral PAIN Assessments based on Guesses– As stated previously ‘with no relational corresponding pain chart there is more space for inaccuracies.’ There is also more likelihood of not doing more work based on the inaccurate assessments already made and reported on by doctors.  This in turn enhances the likelihood that a basic to care for problem is made worse, like I am having.

More Than the Basic Details For Pain Assessments- Dr. Savage

There are also the depth details of pain assessments done that do not necessarily have corresponding values for all people.

One article for assessing chronic pain states, “For a doctor to get a good sense of your chronic pain, just pointing to a single face or number isn’t enough. Your doctor will need some context, says Seddon R. Savage, MD, incoming president of the American Pain Society and an adjunct associate professor of anesthesiology at Dartmouth Medical School in Hanover, N.H. “I ask people to remember the worst pain they’ve ever experienced in their lives,’ Savage tells WebMD. ‘It might be a kidney stone or childbirth. That level of pain becomes the benchmark to which we compare the current pain.’”  I never was pregnant, and I have never had a kidney stone, so my estimate doesn’t even relate to others that way if it was ever requested.

For Patients- Describing Your Chronic Pain

As we have already seen with the information of this document, the assessments by doctors are based on the searches they have done, but “Your doctor needs to know not just how much the pain hurts, but how the pain hurts, says Savage[ in the article from WebMD entitled Using the Pain Scale: How to Talk About Pain.

The kind of pain you’re feeling can say a lot about the cause, experts say. Cohen says that pain that’s caused by tissue injury — like arthritis or a back injured while shoveling snow — tends to be like a dull ache.

But nerve pain, which could be caused by many conditions, such as diabetes and carpal tunnel syndrome, typically causes a more distinctive shooting pain. Others describe it as burning, buzzing, or electrical pain. Nerve pain is also associated with other sensations that aren’t painful in themselves, like tingling or numbness, Cohen says.

Savage says that it’s also important to discuss any variations in your pain. How does it change during the day? What makes it hurt more? What makes it hurt less?

When you see a pain expert, go in prepared. Be ready to describe your chronic pain, as specifically as you can, along with details about when the pain started. The more information you have, the easier it will be for your doctor to help treat your pain…”

The stink of this is that doctors assess a person as having chronic pain, without ever even referring the patient to a PAIN EXPERT.  In fact there may be legitimate pain issues that are totally ignored, like the fact that a broken bone happened, but there are multiple bones in the area and the assessments of
X-rays, CT scans, and MRI tests were not ever examined by a person who looked at the correct placement of the pain.

An estimated doctoral assessment of chronic pain does not mean that the pain is constant or consistently the same or in the exact same location, but without an accurate way of making assessments, doctors are likely to do what is easy instead of what is needed.  The WebMD article continues with more information of great value for people seeking to get treatment that is accurate.  But all of the wonderful advice of the article  will only work if the patient persists in working at getting accurate assessments.

How Does Your Chronic Pain Affect You?

Beyond the severity and the type of chronic pain, there’s a third factor you need to discuss. “It’s really important to talk to your doctor about how your pain affects your life,” says Savage. It’s a crucial and often overlooked detail… Savage says that you should think about the specific ways your chronic pain is affecting you.

  • Does pain wake you up at night?
  • Has chronic pain made you change your habits?
  • Do you no longer go on walks because the pain is too severe?
  • Has it affected your performance on the job — maybe even putting your ability to work in jeopardy?

Giving specifics about how your chronic pain is impinging on your life and changing your behavior is key, Savage says. ‘It helps your doctor understand how much you’re suffering and appreciate the pain as [only part of the] problem that needs treatment,’ she tells WebMD.”

Notice how I varied that doctor’s statement.  It was done because my doctors have taken it upon themselves to offer assessments based on their inaccurate work and because I had not read through this article with articulation for the types of pain to share previously.  This means there is a need for doctors to supply for patient’s corresponding information that can be related to by the doctor…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

Started from previous post- #04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10– ‘How much pain are you in? Rate your levels from 0 to 10.’  With just that question how do the doctor’s really assess my pain? 

  • Based on their previous patients?
  • Based on their own personal experiences?
  • Based on what they think the problem really is?

How do any these assessments accurately assess MY PAIN? 

In fact THEY DO NOT, it’s all a guess for them!

The work of the doctors could improve if they did all the estimating steps, mentioned IN DIFFERENT PAIN ASSESSMENT METHODS LIKE THE SOCRATES pain assessment, but in general a patient may get 10 minutes with a doctor or less because a 20 minute visit involves, weighing, nurse recording information, and this is all part of the 20 minutes allowed for the patient.  My personal experience has shown that most doctors in the medical field do not even do the whole amount of work with asking all of the questions with the SOCRATES (pain assessment)[s] method, maybe because it just takes time OR maybe because of all the insecurities legal hassles have added to the doctors work.

The SOCRATES pain assessment AND Dr. Savages methods at least get more details than a basic rating to detail pain.  Rhapsodie’s method for improving the assessing can also be good, but it requires a lot of work through a society of medical people and patients.  So even though it will be shared later the relational corresponding pain chart is not necessarily a good thing because it has less personalization in corresponding factors than the work of Dr. Savage does.

SOCRATES (pain assessment) Information

This information is taken from Wikipedia.com, there may be more details in other places, but please my assessment of my personal care corresponding to the assessment first please.  My results are placed in [square brackets] next to the corresponding questions:

SOCRATES is a mnemonic acronym used by emergency medical services, doctors, nurses and other health professionals to evaluate the nature of pain that a patient is experiencing.

Meaning of the [SOCRATES] acronym

The acronym is used to gain an insight into the patient‘s condition, and to allow the Health Care Provider to develop a plan for dealing with it.[1][2]

  • Site – Where is the pain? Or the maximal site of the pain. [PARTIALLY ASKED]
  • Onset – When did the pain start, and was it sudden or gradual? Include also whether if it is progressive or regressive. [PARTIALLY ASKED]
  • Character – What is the pain like? An ache? Stabbing? [NEVER ASKED]
  • Radiation – Does the pain radiate anywhere? (See also Radiation.) [NEVER ASKED]
  • Associations – Any other signs or symptoms associated with the pain? [NEVER ASKED]
  • Time course – Does the pain follow any pattern? [NEVER ASKED]
  • Exacerbating/Relieving factors – Does anything change the pain? [What drugs do you use to care for the pain? The best pain treatment for me has come with the use of prescribed ANTIBIOTICS!]
  • Severity – How bad is the pain? [RATE your pain FROM 0 to 10]

This was from Wikipedia.com at this page https://en.wikipedia.org/wiki/SOCRATES_(pain_assessment)

But there is a lot more information needed, especially when the information gathered does not get enough detail to make an accurate assessment or if an individual is not exactly the norm.  It’s a lot easier for a busy person to say, “this person is suffering …” when they do not do the work, then when they take the energy, time and effort to make an accurate assessment.  In fact a person like me can be diagnosed as being a drug abuser or suffering chronic pain because the doctors have no true idea of what they are hearing from me.

As stated previously ‘with no relational corresponding pain chart there is more space for inaccuracies.’ There is also more likelihood of not doing more work based on the inaccurate assessments already made and reported on by doctors.  This in turn enhances the likelihood that a basic to care for problem is made worse, like I am having…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

From previous post- #03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance– In the last 2 years I’ve suffered a lot more because doctors have failed to accurately assess situations based both on recorded lies in my files and the incomplete pain assessments.

Pain Assessments

The reasons for the relational corresponding pain chart are because of the repeated assessments done inaccurately, in my personal assessments, with me.  Please forgive me for only sharing a part of the situation, there are many areas that still have not been taken care of properly, but the pain assessments that lead investigations into injuries can cause a lot of problems if done wrong.

When a doctor asks you how much pain you are in do they do the correct work or could they do more? 

I can guarantee from the services for me that THEY CAN DEFINITELY DO MORE.

Inaccurate General Pain Assessments

At times more assessment is taken, but often not by the doctors.  In fact prescriptions for physical therapy, pain killers, and/or other drugs could result because the tests done are not accurately assessed based on the pain response by the patient to the “Rate your pain level from 0 to 10,”  which is too singular to make an accurate assessment.  Any person with a higher OR lower pain tolerance can hugely vary based on their personal rating of their pain as well as their body tolerances with pain.

With HIGH pain tolerance a person is less likely to be reacting like they are in horrid pain, but their pain problems could be tremendously worse than a person with a much lower pain tolerance while being uncared for because of the inaccurate way that doctors’ have assessed the situations. This was displayed for me because I had to assume how other people would be feeling with the injury of my LEFT Arm Rotator Cuff to fake in a number to get attention.  The MRI proved my reasoning and actions were correct, and my other personal experiences are some evidence of this.  The sample of experiences showed earlier are only some samples if there was a relational corresponding pain chart that more accurately fit information better treatment could result.

Another aspect of the problems comes with the assessment by doctors of Chronic Pain, when a patient like me hear that say, “My pain is not always there, it is not the same in the exact same area after a week of suffering it.  The pain I have at times totally disappears, so how can they make the assessment that the pain is ‘Chronic.’ In fact my perception of the word Chronic is, ‘It never ends and it never changes and it never goes away.’  My one experience with a pain that felt Chronic was a migraine that just grew for over 5 hours.  Nothing else I have had has felt like that.

The least thing that could be done is for doctors to have correspondence about other life situations and our pain assessments of those. Would you please relate any previous experiences so I can understand your rating now? Like a migraine or an infection or another injury.  Someone like me could say, ‘I fractured my lower left calf in gym at school, walked home, took some aspirin, wrapped my leg in ice, then went to the bedroom and put the bone in place, I passed out once, the pain was about a 6.  But it wasn’t bad enough to make me throw up.’

How Pain Assessments Generally Begin

Wouldn’t it be more relational for them when I’m telling them now that I felt like passing out with pain from some recent physical therapy with my lower left leg?  At least sharing the information that after passing out for over 30 minutes and standing up with an injury to my right calf, my pain was about at 7, but I walked out of it would give them some correspondence in understanding my meaning.  In general with no relational corresponding pain chart or more details for pain assessments there is more space for inaccuracies when doctors ONLY ask, ‘How much pain are you in? Rate your levels from 0 to 10.’  With just that question how do the doctor’s really assess my pain?

  • Based on their previous patients?
  • Based on their own personal experiences?
  • Based on what they think the problem really is?

How do any these assessments accurately assess MY PAIN?

In fact THEY DO NOT, it’s all a guess for them!

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

Copied from Previous Post- #02- PAIN Assessments Corresponding with UTI’sThere have been many occasions on doctor’s visits in the last 3 years that they have asked me to rate my pain in a level from 0 to 10, but I can only rate as I feel.  But the doctors cannot make accurate assessments just based on those numbers.  They need to have a real level to vary my level of and they need to have a way to keep the people who are really suffering accurately cared for or they will stupidly make inaccurate judgements as they have with me for over 2 years now.

My Pain Tolerance is HIGH (A Self Assessment)

The UTI infection years ago is evidential of my pain tolerance, but so are the results from care done for an arm that was in pain at a later time.  Years ago I had a plate put in my left arm after a car accident in 2000; back in 2005 the screws through the plate started bothering me.  I ended up at the ‘local hospital’ many months after the bother began, the hospital did a CT Scan and their report was, “There are no problems found.”  It’s a really good thing that I had an appointment with the original surgeon the next week, and it was wonderful that I had the CT Scan Pictures shared with his office.

You know why?

On the day of the appointment with the specialist who had placed the plate in my arm.  He said I needed to stay for surgery. Because of having driven to the office that day, the next day I went in for surgery to remove the screws that had been coming out of my arm for over 8 months.  I felt almost no pain, but the arm was not right.  The specialist had taken the time to really see the results of the CT Scan before I went to see him, and the screws were removed the following day after the first follow up visit to him in 5 years, which is common enough.

But the INACCURATE ASSESSMENT of the PAIN & the CT results by the other hospital could have caused other major body problems, but I knew my body better and worked to get the proper care.  The specialist did not base his estimates on my pain statements, he had made the time to do a proper visual survey of the evidence BEFORE he even saw me because I made sure that he got the visuals and not only the inaccurate technical reports of the other hospital.

The day of the surgery after the screws were removed the surgeon who took care of the problem said that, “the screws holding the plate on my arm were removed with my fingers, they were barely in the bone,” after I asked why the scar bandage was so small in comparison to the whole plate scar, it was less than 2 inches while the original plate scar is over 4.5 inches long.

In general with a full plate removal, according to a medical document, “…Refracture is the most common complication following removal of implant… The forearm should also be protected from heavy loads by splinting for [2] to [4] weeks…” (Malaysian Orthopaedic Journal 2009 Vol 3 No 1)  This is another evidence that in 2005, my screws as removed by hand, that the PLATE WAS NOT removed, I was told by the professional surgeon, “you can return to work like normal tomorrow, there are no restrictions.”  As I had taken an extended weekend, my return to work the next week was abnormal for a plate removal. The picture, here, displays the screw removal scar.  The plate in my arm has aggravated the present pain situation and proper doctoral assessments, even though the doctors have not heard me because they have been mislead by a lying report. AO Foundation Surgery Reference #1.

Connecting Screws are used in full fractures as is displayed with this clip of information from the AO Foundation Surgery Reference #2 pages.

Plate in surgery

My original injury was not in the formation of the picture above, it was a sliver of the Ulna punching up through the skin from the doorway pressure fracturing the arm bone.

In the last 2 years I’ve suffered a lot more because doctors have failed to accurately assess situations based both on recorded lies in my files and the incomplete pain assessments…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

Tag Cloud

%d bloggers like this: